Most Relevant Information
Provider Data
| NPI Number: | 1003651589 |
| Provider Name: | MARK ELTON APPLETON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/27/2024 |
| Last Updated: | 06/27/2024 |
Provider Practice Location
707 W MILWAUKEE ST
DETROIT
MI
482022943
Practice Location Phone/Fax
| Phone: | 3139899444 |
| Fax: |
Provider Mailing Location
707 W MILWAUKEE ST
DETROIT
MI
482022943
Provider Mailing Phone/Fax
| Phone: | 3139899444 |
| Fax: |